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  1. Artikel ; Online: Infection as a trigger of acute, transient glomerular deposition of clonal immunoglobulins.

    Wang, Bangchen / Schub, Micah / Robinson, Derrick L / Howell, David N

    Ultrastructural pathology

    2024  , Seite(n) 1–6

    Abstract: Glomerular deposition of monoclonal IgM, frequently in the form of intracapillary pseudothrombi, can be seen in Waldenström macroglobulinemia (WM) and type I cryoglobulinemia (CG). They are typically associated with plasma cell or B-lymphoid neoplasms, ... ...

    Abstract Glomerular deposition of monoclonal IgM, frequently in the form of intracapillary pseudothrombi, can be seen in Waldenström macroglobulinemia (WM) and type I cryoglobulinemia (CG). They are typically associated with plasma cell or B-lymphoid neoplasms, particularly lymphoplasmacytic lymphoma (LPL). While infection is a frequent trigger of mixed (type II and III) CG, its association with type I CG is uncommon. We report two cases in which striking lambda-chain-restricted IgM deposits and acute kidney injury (AKI) occurred in the setting of known or suspected systemic infections, with prompt resolution on treatment of the infection.
    Sprache Englisch
    Erscheinungsdatum 2024-05-16
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 603269-2
    ISSN 1521-0758 ; 0191-3123
    ISSN (online) 1521-0758
    ISSN 0191-3123
    DOI 10.1080/01913123.2024.2356112
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Exploring US internal medicine resident career preferences: a Q-methodology study.

    Roberts, John K / Schub, Micah / Singhal, Surbhi / Norwood, Jamison / Cassini, Thomas / Hudler, Andi / Ramadurai, Deepa / Smith, Christopher C / Desai, Sima S / Weintraub, Jennifer / Hasler, Scott H / Schwiesow, Tyler M / Connors, Geoffrey R / Didwania, Aashish / Hargett, Charles W / Wolf, Myles

    Advances in health sciences education : theory and practice

    2022  Band 28, Heft 3, Seite(n) 669–686

    Abstract: Career selection in medicine is a complex and underexplored process. Most medical career studies performed in the U.S. focused on the effect of demographic variables and medical education debt on career choice. Considering ongoing U.S. physician ... ...

    Abstract Career selection in medicine is a complex and underexplored process. Most medical career studies performed in the U.S. focused on the effect of demographic variables and medical education debt on career choice. Considering ongoing U.S. physician workforce shortages and the trilateral adaptive model of career decision making, a robust assessment of professional attitudes and work-life preferences is necessary. The objective of this study was to explore and define the dominant viewpoints related to career choice selection in a cohort of U.S. IM residents. We administered an electronic Q-sort in which 218 IM residents sorted 50 statements reflecting the spectrum of opinions that influence postgraduate career choice decisions. Participants provided comments that explained the reasoning behind their individual responses. In the final year of residency training, we ascertained participating residents' chosen career. Factor analysis grouped similar sorts and revealed four distinct viewpoints. We characterized the viewpoints as "Fellowship-Bound-Academic," "Altruistic-Longitudinal-Generalist," "Inpatient-Burnout-Aware," and "Lifestyle-Focused-Consultant." There is concordance between residents who loaded significantly onto a viewpoint and their ultimate career choice. Four dominant career choice viewpoints were found among contemporary U.S. IM residents. These viewpoints reflect the intersection of competing priorities, personal interests, professional identity, socio-economic factors, and work/life satisfaction. Better appreciation of determinants of IM residents' career choices may help address workforce shortages and enhance professional satisfaction.
    Mesh-Begriff(e) Humans ; Internal Medicine/education ; Internship and Residency ; Career Choice ; Education, Medical ; Problem Solving ; Surveys and Questionnaires
    Sprache Englisch
    Erscheinungsdatum 2022-10-20
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article
    ZDB-ID 1352832-4
    ISSN 1573-1677 ; 1382-4996
    ISSN (online) 1573-1677
    ISSN 1382-4996
    DOI 10.1007/s10459-022-10172-0
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Correlating Median Nerve Cross-sectional Area With Nerve Conduction Studies.

    Pulikkottil, Benson J / Schub, Micah / Kadow, Tiffany R / Wang, William / Fowler, John R

    The Journal of hand surgery

    2016  Band 41, Heft 10, Seite(n) 958–962

    Abstract: Purpose: To determine whether there is a correlation between the cross-sectional area (CSA) of the median nerve, as measured using ultrasound, and the distal motor and/or sensory latencies as measured on nerve conduction studies.: Methods: Patients ... ...

    Abstract Purpose: To determine whether there is a correlation between the cross-sectional area (CSA) of the median nerve, as measured using ultrasound, and the distal motor and/or sensory latencies as measured on nerve conduction studies.
    Methods: Patients with clinical signs and symptoms of carpal tunnel syndrome were prospectively enrolled in this study. Subjects underwent ultrasound measurement of the CSA of the median nerve at the carpal tunnel inlet by a fellowship-trained hand surgeon, followed by nerve conduction studies (NCS) by a certified electrodiagnostic technician who was blinded to the results of the ultrasound examination. Pearson correlations were performed to compare CSA and NCS.
    Results: Pearson correlation was r = 0.57 between CSA and distal motor latency and r = 0.47 between CSA and distal sensory latency. Correlation was r = 0.81 between distal motor latency and distal sensory latency.
    Conclusions: There is a correlation between CSA of the median nerve and NCS. Further research is necessary to determine which test correlates better with patient symptoms and function.
    Type of study/level of evidence: Diagnostic II.
    Sprache Englisch
    Erscheinungsdatum 2016-10
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 605716-0
    ISSN 1531-6564 ; 0363-5023
    ISSN (online) 1531-6564
    ISSN 0363-5023
    DOI 10.1016/j.jhsa.2016.08.018
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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